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Occult breast primary malignancy presenting as isolated axillary lymph node metastasis — early detection of primary site by 18F-FDG PET/CT
open access
Abstract
Breast cancer patients rarely present with isolated axillary lymph node metastasis without any clinical or radiological evidence of primary tumor. Identification of the primary site of tumor helps in planning appropriate patient management which has definite impact on patient’s survival. We present here a case of 30-year-old female who presented with isolated right axillary lymph node metastasis with no evidence of primary tumor clinically. Conventional imaging modalities were negative for primary site. She underwent whole body 18F-Flurodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) and it contributed significantly in early detection of occult primary tumor in right breast.
Abstract
Breast cancer patients rarely present with isolated axillary lymph node metastasis without any clinical or radiological evidence of primary tumor. Identification of the primary site of tumor helps in planning appropriate patient management which has definite impact on patient’s survival. We present here a case of 30-year-old female who presented with isolated right axillary lymph node metastasis with no evidence of primary tumor clinically. Conventional imaging modalities were negative for primary site. She underwent whole body 18F-Flurodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) and it contributed significantly in early detection of occult primary tumor in right breast.
Keywords
occult breast primary; early detection; 18F-FDG PET/CT
Title
Occult breast primary malignancy presenting as isolated axillary lymph node metastasis — early detection of primary site by 18F-FDG PET/CT
Journal
Issue
Article type
Case report
Pages
5-7
Published online
2016-10-14
Page views
1121
Article views/downloads
1258
DOI
Pubmed
Keywords
occult breast primary
early detection
18F-FDG PET/CT
Authors
Ramya Soundararajan
Niraj Naswa
Sellam Karunanithi
Ritika Walia
Rakesh Kumar
Chandrasekhar Bal